Effectiveness of Non-Pharmacological Interventions for Irritable Bowel Syndrome: A Systematic Review

Introduction. Given the complexity of the therapeutic management of irritable bowel syndrome (IBS), alternative non-pharmacological therapies are frequently offered to patients. The aim of this study was to conduct a systematic review in order to establish the current evidence base for non-pharmacol...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Florent Amsallem, Stéphane Sanchez, Xavier Armoiry, François Mion
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Other systems of medicine RZ201-999
Acceso en línea:	https://doaj.org/article/65ea57b41cc840eaaa15dfd64966c4eb
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:65ea57b41cc840eaaa15dfd64966c4eb
record_format	dspace
spelling	oai:doaj.org-article:65ea57b41cc840eaaa15dfd64966c4eb2021-11-22T01:11:30ZEffectiveness of Non-Pharmacological Interventions for Irritable Bowel Syndrome: A Systematic Review1741-428810.1155/2021/4404185https://doaj.org/article/65ea57b41cc840eaaa15dfd64966c4eb2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/4404185https://doaj.org/toc/1741-4288Introduction. Given the complexity of the therapeutic management of irritable bowel syndrome (IBS), alternative non-pharmacological therapies are frequently offered to patients. The aim of this study was to conduct a systematic review in order to establish the current evidence base for non-pharmacological interventions (body-directed and mind-body therapies) in the management of IBS. Materials and Methods. The literature was searched in several electronic databases (PubMed (including Medline), Web of Science (Clarivate Analytics), Scopus (Elsevier), ScienceDirect (Elsevier), Cochrane Library (Wiley), and Wiley Online Library (Wiley)) for randomized controlled trials (RCTs) published in the English language from 1990 to 2020. Effectiveness outcomes were examined through the change in overall IBS symptoms or abdominal pain up to 12 months after treatment. Results. 11 studies (parallel-group RCTs) were identified that enrolled 1590 participants in total. Body-directed therapies (acupuncture and osteopathic medicine) showed a beneficial effect compared with standard medical treatment for overall IBS symptoms at 6 months follow-up, while no study found any difference between body-directed and sham therapies for abdominal pain or overall IBS symptoms. It was not possible to conclude whether hypnotherapy was superior to standard medical treatment or supportive therapy for overall IBS symptoms or abdominal pain due to discordant results. Conclusions. Although body-directed therapies such as acupuncture and osteopathic medicine may be beneficial for overall IBS symptoms, higher-quality RCTs are needed to establish the clinical benefit of non-pharmacological interventions for IBS. An important challenge will be the definition of the optimal control groups to be used in non-pharmacological trials.Florent AmsallemStéphane SanchezXavier ArmoiryFrançois MionHindawi LimitedarticleOther systems of medicineRZ201-999ENEvidence-Based Complementary and Alternative Medicine, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Other systems of medicine RZ201-999
spellingShingle	Other systems of medicine RZ201-999 Florent Amsallem Stéphane Sanchez Xavier Armoiry François Mion Effectiveness of Non-Pharmacological Interventions for Irritable Bowel Syndrome: A Systematic Review
description	Introduction. Given the complexity of the therapeutic management of irritable bowel syndrome (IBS), alternative non-pharmacological therapies are frequently offered to patients. The aim of this study was to conduct a systematic review in order to establish the current evidence base for non-pharmacological interventions (body-directed and mind-body therapies) in the management of IBS. Materials and Methods. The literature was searched in several electronic databases (PubMed (including Medline), Web of Science (Clarivate Analytics), Scopus (Elsevier), ScienceDirect (Elsevier), Cochrane Library (Wiley), and Wiley Online Library (Wiley)) for randomized controlled trials (RCTs) published in the English language from 1990 to 2020. Effectiveness outcomes were examined through the change in overall IBS symptoms or abdominal pain up to 12 months after treatment. Results. 11 studies (parallel-group RCTs) were identified that enrolled 1590 participants in total. Body-directed therapies (acupuncture and osteopathic medicine) showed a beneficial effect compared with standard medical treatment for overall IBS symptoms at 6 months follow-up, while no study found any difference between body-directed and sham therapies for abdominal pain or overall IBS symptoms. It was not possible to conclude whether hypnotherapy was superior to standard medical treatment or supportive therapy for overall IBS symptoms or abdominal pain due to discordant results. Conclusions. Although body-directed therapies such as acupuncture and osteopathic medicine may be beneficial for overall IBS symptoms, higher-quality RCTs are needed to establish the clinical benefit of non-pharmacological interventions for IBS. An important challenge will be the definition of the optimal control groups to be used in non-pharmacological trials.
format	article
author	Florent Amsallem Stéphane Sanchez Xavier Armoiry François Mion
author_facet	Florent Amsallem Stéphane Sanchez Xavier Armoiry François Mion
author_sort	Florent Amsallem
title	Effectiveness of Non-Pharmacological Interventions for Irritable Bowel Syndrome: A Systematic Review
title_short	Effectiveness of Non-Pharmacological Interventions for Irritable Bowel Syndrome: A Systematic Review
title_full	Effectiveness of Non-Pharmacological Interventions for Irritable Bowel Syndrome: A Systematic Review
title_fullStr	Effectiveness of Non-Pharmacological Interventions for Irritable Bowel Syndrome: A Systematic Review
title_full_unstemmed	Effectiveness of Non-Pharmacological Interventions for Irritable Bowel Syndrome: A Systematic Review
title_sort	effectiveness of non-pharmacological interventions for irritable bowel syndrome: a systematic review
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/65ea57b41cc840eaaa15dfd64966c4eb
work_keys_str_mv	AT florentamsallem effectivenessofnonpharmacologicalinterventionsforirritablebowelsyndromeasystematicreview AT stephanesanchez effectivenessofnonpharmacologicalinterventionsforirritablebowelsyndromeasystematicreview AT xavierarmoiry effectivenessofnonpharmacologicalinterventionsforirritablebowelsyndromeasystematicreview AT francoismion effectivenessofnonpharmacologicalinterventionsforirritablebowelsyndromeasystematicreview
_version_	1718418284610584576

Effectiveness of Non-Pharmacological Interventions for Irritable Bowel Syndrome: A Systematic Review

Ejemplares similares